<%-- 
    Document   : remoteRpt
    Created on : 2017-1-4, 16:25:02
    Author     : 52461
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
  <head>
   <link rel="stylesheet" type="text/css" href="css/jquery.datetimepicker.css">
    <link rel="stylesheet" type="text/css" href="css/jquery-ui-1.10.3.custom.min.css">
    <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
    <title>施甸县中医院医学远程会诊报告单</title>
    <style>
    * {
        margin: 0;
        padding: 0;
    }
    
    body {
        width: 1000px;
        margin: 10px auto;
        font-family: "微软雅黑";
    }
    
    .apply {
        width: 100%;
    }
    
    .apply td {
        padding: 5px 0;
        font-size: 16px;
    }
    
    .apply td p {
        line-height: 24px;
    }
    
    .apply .a_title {
        text-align: center;
        font-size: 24px;
        padding: 20px 0;
        font-weight: 600;
    }
    
    .apply td input {
        font-size: 16px;
        font-family: "微软雅黑";
        width: 110px;
        height: 20px;
        padding: 3px 5px;
        border: 1px #ccc solid;
        border-top: none;
        border-left: none;
        border-right: none;
        outline: none;
    }
    
    .apply td select {
        width: 110px;
        font-size: 16px;
        font-family: "微软雅黑";
        height: 25px;
        padding: 0px 5px;
        border: 1px #ccc solid;
        border-top: none;
        border-left: none;
        border-right: none;
        outline: none;
    }
    
    .apply td .w_30 {
        width: 20px;
        height: 13px;
        border: 1px #ccc solid;
    }
    
    .apply td label {
        margin: 0 10px;
    }
    
    .apply td .choice {
        width: 15px;
        height: 15px;
        vertical-align: middle;
    }
    
    .apply td textarea {
        height: 100px;
        border: none;
        outline: none;
    }
    
    .content {
        width: 98%;
        margin: 0 auto;
        border-top: 1px #999 solid;
        border-left: 1px #999 solid;
    }
    
    .content td {
        padding: 5px;
        text-align: center;
        border-right: 1px #999 solid;
        border-bottom: 1px #999 solid;
    }
    
    .content td input {
        border: none;
        outline: none;
    }
    </style>
    <script type="text/javascript" src="js/jquery-1.8.2.js"></script>
    <script type="text/javascript" src="js/jquery-ui-1.10.3.custom.min.js"></script>
    <script type="text/javascript" src="js/jquery.datetimepicker.full.min.js"></script>
    
</head>

<body>
    <table cellpadding="0" cellspacing="0" class="apply">
        <tr>
            <td colspan="2" align="left"><img src="images/code.jpg" width="80" /></td>
            <td colspan="4" class="a_title">施甸县中医院医学远程会诊报告单</td>
            <td colspan="2" align="right"><img src="images/code_2.jpg" width="180" /></td>
        </tr>
        <tr style=" border-bottom:1px #ccc solid; padding-bottom:5px;">
            <td align="left" colspan="3">会诊编号：
                <input type="text" style=" width:150px; border:none;" />
            </td>
            <td align="center" colspan="3">会诊类型：
                <select style=" width: 120px; height:25px; padding: 0; border: none">
                    <option>县乡普通会诊</option>
                    <option>县乡急会诊</option>
                    <option>院内普通会诊</option>
                    <option>院内急会诊</option>
                    <option>省市普通会诊</option>
                    <option>省市急会诊</option>
                </select>
            </td>
            <td align="right" colspan="2">会诊日期：
                <input type="text"  id="nowDate" style=" width:150px; border:none;"/>
            </td>
        </tr>
        <tr>
            <td colspan="8">
                <table cellpadding="0" cellspacing="0" width="100%" style=" padding:10px 0 0 10px; border-top:2px #666 solid; ">
                    <tr>
                        <td align="right">患者姓名：</td>
                        <td align="left">
                            <input type="text" />
                        </td>
                        <td align="right">性 别：</td>
                        <td align="left">
                            <input type="text"  onclick="autoClass(this,['男性', '女性', '不确定'])"/>
                        </td>
                        <td align="right">年 龄：</td>
                        <td align="left">
                            <input type="text" />
                        </td>
                        <td align="right">联系电话：</td>
                        <td align="left">
                            <input type="text" />
                        </td>
                    </tr>
                    <tr>
                        <td align="right">住院/门诊号：</td>
                        <td align="left">
                            <input type="text" />
                        </td>
                        <td align="right">住院次数：</td>
                        <td align="left">
                            <input type="text" />
                        </td>
                        <td align="right">来诊日期：</td>
                        <td align="left">
                            <input type="text" onmouseover="getDate(this)"/>
                        </td>
                        <td align="right">付费类型：</td>
                        <td align="left">
                            <select style=" height:25px; width:105px;">
                                <option>自费</option>
                                <option>新农合</option>
                                <option>城镇医保</option>
                            </select>
                        </td>
                    </tr>
                    <tr>
                        <td colspan="8">
                            <table cellpadding="0" cellspacing="0" class="content">
                                <tr>
                                    <td align="right" width="130px">申请医院：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">申请科室：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">会诊医师：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">医生电话：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">会诊专家：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属医院：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属科室：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">职务职称：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">会诊专家：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属医院：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属科室：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">职务职称：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">会诊专家：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属医院：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属科室：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">职务职称：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">会诊专家：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属医院：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">所属科室：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                    <td align="right">职务职称：</td>
                                    <td align="left">
                                        <input type="text" />
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">会诊地点：</td>
                                    <td align="left" colspan="7" style=" text-align: left;">
                                        <input type="text" style=" width:400px;" />科
                                        <input type="text" style=" width:60px;" />病房
                                        <input type="text" style=" width:60px;" />楼
                                        <input type="text" style=" width:60px;" />房
                                        <input type="text" style=" width:60px;" />床位
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">会诊目的</br>/要求：</td>
                                    <td colspan="7">
                                        <textarea cols="120" class="diagnosis"></textarea>
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">初步诊断：</td>
                                    <td colspan="7">
                                        <textarea cols="120" class="diagnosis"></textarea>
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">诊断意见：</td>
                                    <td colspan="7">
                                        <textarea cols="120" style=" height: 200px;" class="diagnosis"></textarea>
                                    </td>
                                </tr>
                                <tr>
                                    <td align="right">治疗意见：</td>
                                    <td colspan="7">
                                        <textarea cols="120" style=" height: 200px;" class="diagnosis"></textarea>
                                    </td>
                                </tr>
                            </table>
                        </td>
                    </tr>
                </table>
            </td>
        </tr>
        <tr>
            <td align="right">报告医生签名：</td>
            <td colspan="3">
                <input type="text" style=" width:240px;" />
            </td>
            <td align="right">病人端操作技师：</td>
            <td colspan="3">
                <input type="text" style=" width:280px;" />
            </td>
        </tr>
        <tr>
            <td align="right" style="  padding-bottom: 10px;">报告时间：</td>
            <td colspan="3" style="  padding-bottom: 10px;">
                <input type="text" style=" width:240px;" onmouseover="getDate(this)"/>
            </td>
            <td align="right" style="  padding-bottom: 10px;">专家端操作技师：</td>
            <td colspan="3" style="  padding-bottom: 10px;">
                <input type="text" style=" width:280px;" />
            </td>
        </tr>
        <tr>
            <td colspan="8" align="center" style=" font-size: 14px; border-top:2px #666 solid; padding-top:10px;">
                <p>[注]：远程医疗会诊对病人的最终诊断与治疗的决定权属于收治病人的医疗机构；本中心会诊结果仅供参考</p>
                <p>版权所有 违者必究 © 2016深圳绰曦互动科技有限公司 www.tronsystem.com</p>
            </td>
        </tr>
    </table>
    <script type="text/javascript">
    $(function(){
        var date = new Date();
        var year = date.getFullYear();
        var month = date.getMonth()+1;
        var day = date.getDate();
        var dateStr = year + '-' + month + '-' + day;
        $("#nowDate").val(dateStr);
    });
    function autoClass(c, arr) {
        $("." + c).autocomplete({
            minLength: 0,
            source: arr,
            select: function(event, ui) {
                if (c == "village") {
                    $(this).attr("data", ui.item.data);
                    autoClass("vCommission", tronsys.vCommissionList());
                }
            }
        }).bind("click, focus", function() {
            thisObj = this;
            $(this).autocomplete("search");
            $(".ui-autocomplete").css({
                "maxHeight": "268px",
                "overflow": "hidden",
                "overflow-y": "auto"
            });
        });
    }

    function autoClass(c, arr) {
        $(c).autocomplete({
            minLength: 0,
            source: arr,
            select: function(event, ui) {
                if (c == "village") {
                    $(this).attr("data", ui.item.data);
                    autoClass("vCommission", tronsys.vCommissionList());
                }
            }
        }).bind("click, focus", function() {
            thisObj = this;
            $(this).autocomplete("search");
            $(".ui-autocomplete").css({
                "maxHeight": "268px",
                "overflow": "hidden",
                "overflow-y": "auto"
            });
        });
        $(c).focus();
    }

    function getDate(obj) {
        $(obj).datetimepicker({
            lang: "ch",
            format: "Y-m-d",
            timepicker: false
        });
    }

    function radio(obj) {
        var _this = $(obj);
        var aInput = _this.closest("td").find("input[type=radio]");
        var result = _this.closest("td").find(".result");
        var _thisInput = _this.closest("li").find(".choice");
        var bStop = _thisInput.is(":checked");
        var cont = _thisInput.siblings("span");

        for (var i = 0; i < aInput.length; i++) {
            $(aInput[i]).attr("checked", "");
        }

        if (bStop) {
            _thisInput.attr("checked", "");
            result.val();
        } else {
            _thisInput.attr("checked", "checked");
            result.val(cont.text());
        }

    }
    </script>
    <br />
    <br />
    <br />
    <br />
    <br />
</body>

</html>
